Provider Credentialing Software

Agency:	Nassau University Medical Center
State:	New York
Type of Government:	State & Local
NAICS Category:	511210 - Software Publishers 541519 - Other Computer Related Services
Posted Date:	Jul 8, 2026
Due Date:	Jul 31, 2026
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Contact information:	Please Login to View Page
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NASSAU HEALTH CARE CORPORATION

(a/k/a the NuHealth System)

REQUEST FOR PROPOSAL (RFP)

FOR

PROVIDER CREDENTIALING SOFTWARE

REQUEST FOR PROPOSAL #: 009-2026

Introduction

Nassau Health Care Corporation (“NHCC”), also known as the NuHealth System, is a New York

State public benefit corporation created by the New York State Public Authorities Law. NHCC

operates Nassau University Medical Center, a 530-bed tertiary care teaching hospital (“NUMC”)

and the A. Holly Patterson Extended Care Facility (“AHP”), a 589-bed skilled nursing facility.

Additionally, NHCC co-operates various Community Health Practices in partnership with Long

Island FQHC, Inc., a non-profit, consumer-driven organization created to help address the health

needs of the region’s most vulnerable populations. NHCC maintains a strong commitment to the

education of healthcare providers. NUMC has been the primary source of medical care for millions

of Nassau County residents since 1935. With its 19-story main tower, NUMC is Nassau County's

tallest building and a familiar Long Island landmark. As the region's premier Level I trauma center,

NUMC treats many of the County's most critically injured patients, and has long carried the

responsibility of being the region’s “safety net” hospital. Additionally, NUMC maintains a strong

commitment to medical education. NHCC is academically affiliated with the New York College of

Osteopathic Medicine, the New York College of Podiatric Medicine, the American University of

the Caribbean School of Medicine and Hofstra University School of Medicine. AHP is recognized

nationally as a model for skilled nursing facilities. AHP offers innovative care in an environment

that treats the 'whole' person. The skilled and caring medical staff responds to the physical, social

and emotional needs of each resident. NHCC’s Community Health Practices are bringing a new

kind of care to the communities that need it most. It is the goal of NHCC to see that every Long

Islander has a “medical home” - a place where people you know provide the kind of primary and

preventative care that safeguards the health of you and your family.

Proposal Requirements

Proposals must comply with all instructions outlined in this RFP. Submissions that are incomplete

or fail to meet the specified requirements may be rejected without review.

Any contract awarded as a result of this RFP will supersede all prior contracts, bids, or agreements

related to Provider Credentialing Software at NHCC.

Communication Guidelines

All written communications regarding this RFP - including email correspondence - must clearly reference

the RFP title and number in the subject line to ensure proper handling.

Contacts and Submission

Nassau Health Care Corporation

Department of Legal Affairs

2201 Hempstead TurnpikeEast Meadow, NY 11554

RFPSubmissions@numc.edu

Anticipated Schedule*

o Issue RFP

July 9, 2026

o Deadline for Questions

July 22, 2026

o Proposals Due

July 31, 2026 at 3:00 p.m.

o Interviews, if Required

To Be Determined

* Dates indicated above are subject to change at the sole discretion of Nassau Health Care Corporation

SCHEDULE A

I. GENERAL INFORMATION

A. Background

Nassau Health Care Corporation (“NHCC”), also known as the NuHealth System, is a New York State

public benefit corporation established under the Public Authorities Law. NHCC operates:

• Nassau University Medical Center (NUMC): A 530-bed tertiary care teaching hospital.

• A. Holly Patterson Extended Care Facility (AHP): A 589-bed skilled nursing facility.

• Nassau County Correctional Center (NCCC): The primary jail facility for Nassau County, New York

• Community Health Practices (CHP): Operated in partnership with Long Island FQHC, Inc., a non-

profit, consumer-driven organization serving the region’s most vulnerable populations.

NHCC is committed to delivering high-quality care, advancing medical education, and serving as the safety-

net health system for Nassau County residents.

Nassau University Medical Center (NUMC): Founded in 1935, NUMC is the County’s primary source of

advanced medical care. Its 19-story tower houses the region’s premier Level I Trauma Center and serves as a

hub for medical education through affiliations with the New York Institute of Technology College of

Osteopathic Medicine, the New York College of Pediatric Medicine, the American University of the

Caribbean School of Medicine, and the Donald and Barbara Zucker School of Medicine at

Hofstra/Northwell.

A. Holly Patterson Extended Care Facility (AHP): Nationally recognized as a model for skilled nursing

services, AHP provides innovative, patient-centered care that addresses residents’ physical, emotional, and

social needs in a supportive, healing environment.

Nassau County Correctional Center (NCCC): Medical services for the primary jail facility for Nassau

County, New York, housing both pre-trial detainees and sentenced individuals.

Community Health Practices: NHCC’s community-based centers deliver comprehensive, accessible, and

preventive care to underserved communities across Long Island, ensuring every resident has access to a

trusted “medical home.”

II. SERVICES SPECIFICATIONS

A. Scope of Services

The Scope of Services outlined below has been established for the purpose of achieving and implementing

program goals and objectives described in this document. The CONTRACTOR shall provide a

comprehensive, cloud-based Credentialing, Privileging, and Provider Enrollment software solution for a

term of five (5) years.

Vendor Services and Software features must include the following minimum requirements:

• Core Platform: A credentialing and re-credentialing database hosted on a secure cloud-based platform.

• Web-Based Applications: Prepopulated applications and privilege forms with comprehensive

electronic capabilities for the credentialing process.

• Primary Source Verification: Web-based, automated ongoing monitoring for state medical licenses,

board certifications, DEA, SSDMF, SAM, OIG, Medicare Opt Out, Medicaid eligibility and

exclusions, federal sites, and hospital affiliations.

• Privilege Library: An evidence-based, continually updated privilege library with integrated ICD/CPT

code maintenance.

• Data Maintenance: Standardized, continuously updated data tables for vital fields, including medical

malpractice carriers, licenses, boards, and DEA.

• Peer Review: Full electronic request routing and capabilities for peer references.

• Performance Tracking: The system must have the ability to add an additional module for clinical

performance tracking and reporting for FPPE/OPPE.

• Provider Hub: A centralized portal for providers to complete medical staff and enrollment

applications, view credentialing status, review privileges, and submit files for committee member

review.

• Managed Care & Enrollment: A dedicated Managed Care Contracting module, alongside a Provider

enrollment system featuring roster management to auto-generate delegated payor rosters.

• CAQH Integration: The native ability to import provider data directly from CAQH into the

credentialing software program.

• Online Payer Enrollment: Direct capabilities for online enrollment for PECOS, Medicaid, and

commercial payers.

• Custom Workflows: Configurable organization, location, and payer-specific data attributes and

workflows.

• On-boarding & Tracking: Workflows specifically designed for the physician on-boarding process and

tracking.

• Task Management: Advanced system alerts including ticklers, flags, checklists, and letter generation

capabilities.

• Document Management: Integrated electronic scanning and fax capabilities within provider profiles.

• Directory: A centralized, searchable provider directory.

• System Integration: Vendor must provide a documented API framework (HL7 FHIR R4 preferred, or

equivalent) enabling bi-directional data exchange with NHCC's clinical and administrative systems,

including but not limited to the EMR platform and billing/scheduling systems. Named system

references are provided for scoping purposes; equivalent integration capability via standard interfaces

is acceptable.

• Access: Uninterrupted 24-hour internet access for Providers and employees.

• Notifications & Reporting: Automated generation of critical notifications and extensive support for

the creation of reports and letters in connection with the software management solutions.

• Implementation & Vendor Support: The vendor must be able to provide full data interfacing,

conversion, periodic software updates and enhancements, technical assistance, and installation.

Training must include on-site or web-based software training courses and unlimited toll-free phone

support.

• Vendor must hold and maintain, at minimum, SOC 2 Type II certification. HITRUST CSF

certification is preferred. Vendor must provide its most recent audit report upon request and notify

NHCC within 24 hours of any breach or material security incident

• Vendor must meet minimum insurance requirements as stated in Schedule “C”.

• All vendor data processing, storage, and support operations for data containing PHI or provider PII

must be performed within the United States. Vendor must identify all material subprocessors in their

proposal and execute a HIPAA Business Associate Agreement with NHCC prior to contract execution.

SCHEDULE B

I. PROPOSAL PROCESS AND REQUIREMENTS

Proposal Submission

NHCC invites qualified Proposers to submit proposals for the services described in this RFP. Proposals must

conform to the requirements set forth herein; non-conforming proposals may be disqualified.

The RFP is available through the designated NHCC contact office and may also be downloaded via the

“Doing Business with NuHealth” link at www.numc.edu.

Submission Requirements:

• Electronic Media: One (1) electronic copy sent via email to:

o RFPSubmissions@numc.edu

Note:

• Electronic copies of the proposal must be received by NHCC no later than 3:00 p.m. on the specified

due date.

• Incomplete submissions may result in disqualification.

The selected Proposer will enter into negotiations with NHCC regarding contract terms. If agreement cannot

be reached within a reasonable time, NHCC may reject that Proposer and begin negotiations with others.

Proposals should be clear, concise, and responsive to the RFP.

I. Contents of Proposals

A. Name of the Proposer.

B. Contact person for the Proposer, including name, address, phone and fax

numbers, e-mail address and other contact information.

C. Background information regarding the Proposer, including:

1. Brief history of the Proposer’s firm and a description of all services it

provides.

2. A summary description of its organizational structure (e.g., corporation,

partnership, LLC, etc.), its history (including information on the date of

its formation and the State of its formation), its management and

ownership structure (including the name and address of its officers, and

of each person, directly or indirectly holding a five (5%) percent or

greater ownership interest in the Proposer.

3. Proposer shall provide documentation satisfactory to NHCC

demonstrating that Proposer is licensed and authorized to do business in

the State of New York and, if applicable, Nassau County.

4. A description of the Proposer’s existing business operations, including

number of employees by discipline.

5. Proposals must demonstrate the qualifications and experience of the

Proposer specifically related to the services contemplated by this RFP.

6. Each proposal must include Proposer’s financial information. This

information is needed to ensure that each Proposer will be capable of

performing its obligations under any agreement entered into between

the Proposer and NHCC. Demonstration of the applicant’s financial

soundness shall be established by submitting the following information:

a. A copy of the Proposer’s most recent annual audited financial

statement and annual audited financial statements for the

previous two years.

b. Copies of the Proposer’s subsequent quarterly financial reports.

c. Detailed information of any changes in the mode of conducting

the Proposer’s business, including bankruptcy proceedings or

filings, and merges or acquisitions within the past three (3)

years. List of any bankruptcy proceedings in the past ten (10)

years initiated by or against the Proposer or any affiliate or

related company.

7. At least three business references (including names of individuals,

their titles, organizations, mailing addresses, telephone and fax

numbers, and e-mail addresses).

8. A Proposer that is a licensed health care provider or other licensed entity

must include information concerning any material negative findings,

sanctions imposed or pending regulatory or legal proceedings.

9. Proposals must include the following:

a. List of any and all criminal convictions within the last (10) ten

years rendered against the Proposer, any officer or director

thereof, or any affiliate or related company.

b. List of any and all civil penalties, judgments, consent decrees,

violations, Statements of Deficiency or other sanctions within

the last ten (10) years rendered against the applicant, any officer

or director thereof, or any affiliate or related company.

c. List of any and all current investigations, indictments or pending

litigation by any Federal, State or local jurisdiction initiated

against the applicant, any officer or director thereof, or any

affiliate or related company.

d. List of any and all actions occurring with the last ten (10) years

which have resulted in revocation or suspension of any permit

or authority to do business in any Federal, State, or local

jurisdiction, by the applicant, any officer or director thereof, or

any affiliate or related company.

This page summarizes the opportunity, including an overview and a preview of the attached documents.

Solicitation:	Provider Credentialing Software
Title:	7/9/26
Solicitation Type:	7/31/26
Status:

Provider Credentialing Software

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